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Transcript
IJBPAS, April, 2015, 4(4): 2295-2302
ISSN: 2277–4998
ELECTROLYTE CHANGES CAUSED BY PROLONGED INFUSION OF
ISOFLUPREDOE ACETATE IN SHEEP
ELMI V1 , HASSANPOUR A2*, SAKHA M3 , NADALIAN M4 AND AMOGHLI
TABRIZI B5
1: Postgraduate student of Large Animal Internal, Science and Research Tehran branch,
Islamic Azad University, Tehran, Iran
2: Department of Clinical Sciences, Tabriz Branch, Islamic Azad University, Tabriz, Iran
3: Department of Clinical Sciences, Science and Research Tehran branch, Islamic Azad
University, Tehran, Iran
4: Department of Clinical Sciences, Science and Research Tehran Branch, Islamic Azad
University, Tehran, Iran
5: Department of Pathology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
*Corresponding Author's: E Mail: [email protected]; [email protected]
ABSTRACT
Glucocorticoids are often used for the treatment of ketosis and Isoflupredone acetate and
dexamethasone is commonly used for this purpose. In this study, 20 male lambs 12 -15
months that their weight and nutritional status were similar divided in 2 groups (10 cows),
and for all of the 10 sheep in experimental group, 4 mg Isoflupredone acetate was injected in
4 days and all animals were sampled to measure biochemical parameters. After thawing
frozen samples in the laboratory, sodium, potassium, chloride, calcium, phosphorus,
magnesium were measured. Investigation of serum electrolytes of sheep in experimental and
comparison with the control group showed increased levels of sodium, calcium, magnesium
and decreased levels in potassium, chlorine and phosphorus of serum.
Keywords: Isoflupredone Acetate, Biochemical Parameters, Sheep
INTRODUCTION
Vetapredone is a potent corticosteroid
in the liver of mice have been reported
hormone and its effects through experiment
about ten times as prednisone, fifty times as
and determination the stability of glycogen
hydrocortisone and sixty seven times as
2295
IJBPAS, April, 2015, 4(4)
Hassanpour A et al
cortisone.
from
commonly used. In the case of potassium
embryonic layer in to cytoplasm and
deficiency symptoms, discontinue using
connects to the specific receivers in
corticotrophic and five per cent solution of
cytoplasm, then these complexes enter in
potassium chloride is used as an intravenous
the core of cell, linked to DNA and actuate
drip
the generation process of messenger RNA
glucocorticoids with reducing the levels of
and confirmation of various proteins such as
potassium in blood may increase the effects
enzymes subsequently and causing to
of nondepolarized neuromuscular blocking
glucocorticoid
mineralocorticoids
drugs, resulting in increased or prolonged
effects. The balance between water and
respiratory weakness or even paralysis. Side
electrolytes through mineralocorticoids have
effects and safety of drugs depends on the
been done, so that sodium transport in the
type of drug, their time, how to use, how
distal renal tubular facilitate, therefore the
much of the drug at a time, drug interactions
reabsorption of sodium and excretion of
with
potassium and hydrogen and water lock up
characteristics of the species. In other
within the body increase.
words, in medication of Adernocorticoids
This drug have been used wide spreadly in
and
treatment of ketosis, shock, stress, allergies,
weighed against its benefits and then
joint
all
prescribe medication to be taken. Similarly,
inflammation such as swelling and pain in
it should be used in recommended doses
the bones, spine and discs, low blood sugar,
prescribing these drugs and must be avoided
disorders of functions in liver, avoid of low
from medication overdose that the effect of
blood calcium and magnesium and allergic
drug had more confidence. As many of the
skin
arthritis,
complications is related to the prescription
when
drugs over the limit value (Radostits 2007).
and
This
Research Article
drug
and
tendon
diseases,
accelerate
penetrates
inflammation,
rheumatoid
delivery,
especially
infusion.
other
Administration
medications
corticotrophin,
and
harms
of
personal
should
be
delivery is delayed, mastitis, laminitis,
METHODOLOGY
Osteoarthritis, fatigue, cramps, depression,
In this study, 20 male lambs weighing 12 -
stress reduction resulting from the transport
15 months of age who were in a similar
of livestock, inflammation and swelling of
situation was purchased from a herd. All
the conjunctiva, snakebite, milk fever and
sheep had a similar diet (containing hay and
etc. in cattle. Glucocorticoids often used for
straw
the treatment of ketosis. Dexamethasone
medication was prescribed for all sheep.
and
After a few days the animals were
Isofluoredone
acetate
is
most
and
water)
and
anti-parasitic
2296
IJBPAS, April, 2015, 4(4)
Hassanpour A et al
Research Article
accustomed to the new environment were
suctioned above the flame and can cause to
examined and divided into control and
discoloration of the flame from burning
experimental groups and were numbered.
metal.
On day zero all animals sampled for
discoloration of light of metal directly.
measuring biochemical parameters. The 10
There are parameters that can affect the
cc syringe and needle # 18 of the jugular
results, such as lubricate of samples, or
vein blood was taken and then were
samples are not completely separated from
transferred to test tubes containing gel. The
the clot or Sampler is unclear.
tubes were sent to the laboratory within 30
RESULTS
to 60 minutes and 2 ml of serum from blood
Mean value of any biochemical parameter in
samples were isolated by centrifugation and
both treatment and control groups from day
fizzed after transferring to plastic micro-
zero to four, have been calculated. The
tubes. In day one Isoflupredone acetate in a
findings obtained from the analysis of serum
dose of 4 mg of drug per 10 sheep (test) was
electrolytes in animals showed the levels of
used
after
serum sodium in the treatment group had a
4mg of drug Isoflupredone
significant increase in the second and fourth
acetate was injected for second time. This
days (P <0.01) and this difference was not
process repeated until 4th day. After thawing
statistically significant on days zero and one
frozen samples in the laboratory, sodium,
and three. The levels of serum potassium in
potassium, chloride, calcium, phosphorus,
the treated group between days one, two and
magnesium were measured. Sodium and
three
potassium of serum by flame surveying
significantly (P <0.01). The levels of
using flame photometer were measured and
chlorine in the treated group on days one
other parameters were measured using
and two had a significantly decreasing (P
proprietary kits and with spectrophotometry
<0.05) and on the third day this difference
method by autoanalyzer. After calibration
was highly significant (P <0.01). However,
samples entered in flame photometer then
no significant difference was observed on
needle is inserted into the sample. A
the fourth day. The levels of calcium in the
vacuum created in automyzer that material
treatment
of sample is in it.
After this material
difference in any day. The levels of
entered into the mixer and subsequently
magnesium in the treated group on day zero,
compressed air enter into the mixer. The
one and two had a significant increase (P
material and compressed air have been
<0.05) and on the third day this difference
intramuscularly.
sampling,
24
hours
Flamephotometer
and
four
group
have
had
measure
been
no
the
reduced
significant
2297
IJBPAS, April, 2015, 4(4)
Hassanpour A et al
Research Article
was very significant (P <0.01) but no
highly significant difference (P <0.01) and
significant difference was observed on the
on the third day this difference was
fourth day. Phosphate levels between the
significant (P <0.05).
two groups in days one, three and four had a
Table 1: Comparison of biochemical parameters between controls and patients at day zero to four
Day
Variant
Group
Count
Average±SD
T
P value
0
Na
Treated
10
141.10±1.52
0.998
0.331
Control
10
141.90±2.02
K
Treated
10
4.49±0.26
0.169
0.868
Control
10
4.51±0.26
Cl
Treated
10
100.70±1.63
2.18
0.042
Control
10
102.10±1.19
Ca
Treated
10
10.83±0.47
0.676
0.508
Control
10
10.97±0.49
Mg
Treated
10
2.07±0.09
2.5
0.022
Control
10
2.39±0.39
p
Treated
10
4.72±0.06
1.59
0.128
Control
10
4.76±0.04
1
Na
Treated
10
141.10±1.52
0.998
0.331
K
Treated
10
4.49±0.26
0.169
0.868
Cl
Treated
10
100.70±1.63
2.18
0.042
Ca
Treated
10
10.83±0.47
0.508
0.676
Mg
Treated
10
2.07±0.09
0.022
2.5
P
Treated
10
4.72±0.06
0.128
1.59
2
Na
Treated
10
145.5±1.26
4.76
<0.0001
K
Treated
10
2.31±0.31
16.82
<0.0001
Cl
Treated
10
100.50±1.84
2.30
0.033
Ca
Treated
10
10.76±0.30
1.15
0.262
Mg
Treated
10
3.18±1.03
2.25
0.037
P
Treated
10
4.34±0.54
2.42
0.026
3
Na
Treated
10
142.10±1.79
0.234
0.818
K
Treated
10
2.25±0.24
19.6
0.0001
Cl
Treated
10
95.90±2.42
7.25
0.0001
Ca
Treated
10
10.89±0.42
0.405
0.690
Mg
Treated
10
3.28±0.79
3.19
0.005
P
Treated
10
2.42±0.27
3.89
0.001
4
Na
Treated
10
146.50±2.46
4.56
0.0001
K
Treated
10
2.83±0.49
9.44
0.0001
Cl
Treated
10
100.50±3.62
1.32
0.202
Ca
Treated
10
20.63±30.34
1.00
0.328
Mg
Treated
10
2.56±0.94
0.530
0.603
P
Treated
10
4.61±0.09
4.32
0.0001
2298
IJBPAS, April, 2015, 4(4)
Hassanpour A et al
Research Article
Picture 1: Chart of Na & K changes in treated group from day zero to four
Picture 2: Chart of Cl & Ca changes in treated group from day zero to four
Picture 3: Chart of Mg & P changes in treated group from day zero to four
2299
IJBPAS, April, 2015, 4(4)
Hassanpour A et al
Research Article
DISCUSSION
mEq per liter). Despite treatment with
Investigation of serum electrolytes in sheep
potassium, concentration of potassium in
and comparison with the control group
plasma only in six vertices of cattle was in
showed an increasing in levels of sodium,
normal range. Three cows dead and three
calcium, magnesium and decreasing in the
vertices were killed and two vertices
levels of potassium, chlorine, phosphorus.
recovered and one cattle was leaved while
Coffer et al. (2007), had a study on 33
crippling and one case was sent to the
cattle that past 20 to 25 days of lactation.
slaughterhouse without treatment.
They
and
In present study in order to reducing the
Isoflupredone acetate in cattle. Injections of
levels of serum potassium the Isoflupredone
both corticosteroid increased blood glucose
acetate drug have been used. The levels of
and injection of Isoflupredone acetate solely
serum potassium in 10 sheep decrement to
decreased
levels
2.1-2.5 mEq /lit. It should be noted that
Injection of Isoflupredone
potassium excretion by the kidney through
acetate in one dose decreased Potassium by
the discharge in the distal tube occurs.
25% on the second day and in the cattle
Aldosterone
with
mineralocorticoid
injected
dexamethasone
serum
significantly.
severe
potassium
hypokalemia
Potassium
or
other
steroids
activity,
with
exerting
concentration was less than 3.2 mEq per
potassium from distal tubular by increasing
liter. Plasma concentration of potassium in
permeability of the luminal membrane tubes
cows that had received two doses of
and increasing the loss of potassium in the
Isoflupredone acetate was 46% less than
urine. Frequently using of Isoflupredone
zero day. Three days later, five cattle were
acetate,
suffering from severe hypokalemia. In this
concentration in plasma as much as 70 - 80
study,
doses
percent. The mean value of serum sodium
a
level in sheep showed a significant increase
statistically high significant decrease was
in the treated group (p <0.01). Balance of
observed (P <0.01).
water
In another study by Sielman et al., (1997),
mineralocorticoids is done, as Isoflupredone
on 10 bovine with
ketosis, were treated
acetate facilitate transportation of sodium in
Isoflupredone acetate, 8 vertices of
the distal renal tubular so increasing
them were hospitalized and two vertices
reabsorption of sodium and excretion of
were extremely weak, all cows were
potassium
extremely Hypokalemic (Between 1.4 to 2.3
retention of water in the body. There was a
after
Isoflupredone
with
injection of three
acetate
in
sheep,
decrease
and
and
the
potassium
electrolytes
hydrogen,
through
resulting
in
2300
IJBPAS, April, 2015, 4(4)
Hassanpour A et al
Research Article
statistically significant reduction in the
hypokalemia are faced with magnesium
mean value of the levels of serum chloride,
deficiency. With respect to high levels of
this reduction can be related to anorexia and
serum magnesium in present study, it can be
diet and water intake of the animals. Since
related to the effects of Isoflupredone
many factors such as
acetate drug because the drug can prevent
hyperlipidemia,
hyperglycemia, and increased protein can
low
affect
Investigation of serum phosphate levels
the
reduction
of chlorine
and
blood
calcium
showed
so this reduction can be related to the
significant reduction (p <0.01). Peek et al.
performance of the drug. The mean value of
studied 17 cases of sever hypokalemic
serum calcium indicates that there is no
cattle. In 4 cases hypophosphatemia and in
statistically significant increase. It should be
13 cases Hypochloremia was recorded. In
noted that Isoflupredone acetate prevents
Sielman et al. study, 40% of cows had
from decreasing serum calcium. Increasing
hypophosphatemia
the destruction and erosion of bone tissue,
hypokalemic myopathy and weakness. In
direct
and
Sattler et al. study 35% of cows have been
stimulates and osteoclasts, may be because
reported hypokalemic. Repeated using from
of Isoflupredone acetate drug
drug
osteoblasts
effects,
there
Isoflupredone
is
a
magnesium.
Isoflupredone acetate increase blood sugar,
inhabitation
that
and
statistically
associated
acetate,
with
muscle
leading to increased blood calcium and
weakness, unabsorbtion of phosphorous in
osteoporosis in animal subsequently. A
increased levels of serum calcium and
statistically significant Increasing in the
magnesium can be the major cause of
mean value of serum magnesium levels
hypophosphatemia in sheep in this study.
have been observed (P <0.05) . Chou et al.
REFERENCES
(2007) showed that magnesium deficiency
[1] Chou-Long Huang and Elizabeth
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Kuo: Mechanism of Hypokalemia in
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[2] Coffer NJ, Frank N, Elliott SB,
distal tube increase. Increamentation in
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2301
IJBPAS, April, 2015, 4(4)
Hassanpour A et al
Research Article
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